YUSHKIA JONES
SPRING,TX
Summary
Experienced Financial Aid Representative with a diverse background in the financial and healthcare sectors. Proficient in collections, payment processing, and cultivating positive customer relationships. Ensures prompt payments and identifies cost-saving opportunities through meticulous attention to detail and effective problem-solving skills. Recognized for delivering exceptional customer support and utilizing data-driven decision-making to enhance service quality and operational efficiency. Also experienced in medical billing outbound calling, further enhancing skill set in the healthcare industry.
Overview
12
12
years of professional experience
Work History
Case Manager
McKesson
Texas
10.2024 - 03.2025
- Compiled thorough case documentation, ensuring compliance with regulations.
- Works in a fast-paced, high-volume contact center environment with a variety of product support programs managing complex reimbursement issues. Works closely with healthcare providers and patients to assist with appeal management for claim denials. Works with physicians and payers to advocate for product-specific coverage per payer-specific P&T Committee protocol, therefore, must possess the ability to communicate product benefits and efficacy and positively influence payer policy. Must have an in-depth understanding of insurance plans and benefits .Make out bound calls to investigate the patients insurance .
Pharmacy Benefits Specialist
TTEC
07.2024 - 10.2024
- Respond to incoming calls from our customers on issues related to benefit eligibility questions and prescription status inquiries
- Guide and educate callers on their prescription benefits, use of plan, formulary, premiums and status of orders and claims or inquiries
- Ask appropriate questions and listen actively while documenting required information in computer systems
- Identify issues and communicate solutions and steps to customers, pharmacies and physicians with prescription orders and reorders
- Make outbound calls to customers on prescription orders and payment issues
- Analyze customer inquiries, providing tailored solutions for prescription benefits, formulary details, and claim status, enhancing overall service quality.
ACCOUNTANT ASSISTANT
Alief Financial Services
06.2021 - 06.2024
- Reconciled company credit cards and expense accounts, ensuring accuracy in financial records
- Maintained chart of accounts, updating monthly entries and payroll adjustments
- Coordinated timely vendor, client, and account holder payments, improving cash flow.
FINANCIAL AID REPRESENTATIVE
Greenwood & Hall
02.2013 - 04.2022
- Delivered personalized customer service, resolving account issues promptly and building lasting relationships
- Ensured compliance with confidentiality policies, safeguarding customer information
- Investigated root causes of issues, providing effective resolutions and enhancing customer satisfaction
- Collaborated with finance team to analyze data, supporting strategic decision-making and financial planning
- Assessed financial aid applications, ensuring effective fund distribution to students in need.
Education
HIGH SCHOOL DIPLOMA -
Travis B Bryan High School
Bryan, TXSOME COLLEGE (NO DEGREE) - Nursing
Blinn College
Bryan, TXSkills
- Collections
- Invoice Processing
- Payment Processing
- Customer Relations
- Customer Support
- practical skills
- Attention to Detail
Problem Solving
Timeline
Case Manager
McKesson
10.2024 - 03.2025
Pharmacy Benefits Specialist
TTEC
07.2024 - 10.2024
ACCOUNTANT ASSISTANT
Alief Financial Services
06.2021 - 06.2024
FINANCIAL AID REPRESENTATIVE
Greenwood & Hall
02.2013 - 04.2022
HIGH SCHOOL DIPLOMA -
Travis B Bryan High School
SOME COLLEGE (NO DEGREE) - Nursing
Blinn College